Permit CITY T I GAR D MECHANICAL PERMIT
III DEVELOPMENT SERVICES PERMIT #: MEC2006 -00386
I DATE ISSUED: 8/9/2006
' ---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -01003
SITE ADDRESS: 10300 SW GREENBURG RD 470 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Install: (2) exhaust fans, (2) z- boots. Relocate: (3) air grilles, (2) supply grilles, (1) pneumatic stat.
Valuation: 6,192.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 8/9/2006 $161.30
[TAX] 8% State Surcha 8/9/2006 $12.90
Total $174.20
Phone:
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 331 -0234
FAX 503- 331 -6906
Reg #: LIC 40981
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
J
Issued By: ' �� rb- „1 Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections t business day.
This permit card shall be kept in a conspicuous place on the jo to until completion of the project.
Approved plans are required on the job site at the me of each inspection.
Mechanical Permit . - I.lication FOR OFFICE USE ONLY °
, . .
City of Tigard C I ''rtt,;b ti Hi Received - N o —,01_,,
Date/By: , 7 - I/ k NI Permit NOV' d • i --" • I 1,4
13125 SW Hall Blvd., Tigard, OR 97223 • - • Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Airid 1 i A Date/By: Other Permit:
Inspection Line: 503.639.4175 AUG _ -„,, I
0 9 200 i- --- Date Ready/By: NI 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
,: i•: ,,:air ';, 2 ' , .*IC „ . torliwathtai„ :,:gRel:' ,::: , Igtfille ':'' : KeroiiiS
1:1 New construction -El.ikadiiibnialier-aficiii/141a4etlemeA Mechanical permit fees* arc based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
45 . ,i '.,i, ;„_ „ . , „ Y. !uf.: $ c. J.117-
',,41§,ti*M:i., "
*,;
o 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
5.14 ;' 44 ' -2fia , erA b ..,,,,,?. m „, ; ,,v , .,,
:-17 . p,j%4A, N;,,op. ,,,, TI ,XiIK:mt,,1.7 Aut Heating/cooling
Air conditioning or heat pump
Job site address: 10300 SE Greenburg Road (requires site plan showing placement) 14.00
City/State/Z1P: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: One Lincoln Project name: Nationwide
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. ' 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
406041)pi."} allog!ei1k f ,-: ;, Water heater 10.00
Gas fireplace 10.00
INVI LI. 1v EY-M ).Sr FA NS \,-) FM ST/475_ - T - NS7/9 IL Flue vent for water heater or gas
fireplace 10.00
- 7 FoR RFTLA A/ Al lk . RE1,0 — rHrt • R --.7-0R,P Log lighter (gas) 10.00
A IR. & 2 it j,CS R FL 0 7G suPpo c- RI Li, Es . 2 E-1-0 Wood/pellet stove 10.00
0 NEL PA) E u AA/yr/ STA--r: Wood fireplace/insert 10.00
tift i 4;lio=piiiiV ::6Eii , 0.40 nit ',:' :''alg''''' ' giiiiglArgrODIMS: „It Chimney/liner/flue/vent 10.00
„..- - ...Tv '' ” - .fS."..,,,' ..--"-..", . -: "
Other: 10.00
Name: Nationwide Environmental exhaust and ventilation
Range hood/other kitchen
Address: 10300 SE Greenburg Road equipment 10.00
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
acr DC O ol: Attic/crawlspace fans 10.00
' Other: 10.00
Business name: Mckinstry Co.
Fuel piping
Contact name: Jason Carver $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 12021 NE Airport Way, Suite G
Gas heat pump
City/State/ZIP: Portland, OR 97220 Wall/suspended/unit heater
Phone: (503) 331-0234 Fax: : (503) 331-6906 Water heater
Fireplace
E-mail: jasoc@mckinstry.com Range
1117417. Iww: , :- ‘ ,.„, i; ,Agrg i i,:- :,. Barbecue
Clothes dryer (gas)
Business name: Mckinstry Co.
Other:
Address: 12021 NE Airport Way, Suite G l i"P' ' : ' ;i'2 ' ' NOlf,r )016i ti' AOSItittktii:6
City/State/ZIP: Portland, OR 97220 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 331-0234 Fax: (503) 331-6906
Plan review (25% of permit fee)
CCB lie.: 40981 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Jason C rver Date: 8/7/06 * Fee methodology set by Tri-County Building Industry Service Board
i:\BuildingTermits\MEC-PernaitApp.doc 12103 440-4617T ( I 1/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00386
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:03AM PAGE: 78
SITE ADDRESS: 10300 SW GREENBURG RD 470 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NATIONWIDE
DESCRIPTION: Install: (2) exhaust fans, (2) z-boots. Relocate: (3) air grilles, (2) supply grilles, (1) pneumatic stat.
Valuation: 6,192.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 503-331-0234
Inspection Request Scheduled For: Date: 8/1812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'IZ\V 699 Mechanical final 035196-01 206-391-1937
Corrections/Comments/Instructions:
c i - tASS 0 PARTIAL APPROVAL CANCEL 0 NO ACCESS
pi FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Fitg( 6 Phone #: (503) 718-
, .